Sacroiliitis, a chronic and rarely diagnosed pain

When there is chronic pain in the lower back that extends to the legs and there is an inflammatory compromise of the sacroiliac joints, the doctor may have diagnosed you with an MRI,  sacroiliitis .This disease has been part of the diagnosis of the so-called  spondyloarthropathies  since its inclusion in the Rome criteria in 1961. Currently, with its simple MRI, its evolution and treatment can be seen according to the age of the patient, but it is not always easy to reach your diagnosis.Chronic inflammatory-type low back pain may lead one to suspect that not only is the back sore, but that there are radiological changes that are either unilateral or bilateral in the worst case, showing possible  ankylosing spondylitis . This diagnosis is not frequent and in fact, it takes about 8 years to confirm. Often it not only goes unnoticed but is mistaken for other low back pain of different etiology.

The  sacroiliac joint  normally presents with pain that is located in the posterior superior iliac spine and normally radiates to the buttock. Generally, patients are prevented from doing physical activities and they worsen their daily lives and complain when they are mostly on their feet. Walking on irregular surfaces, making daily movements or gaining weight is impossible when trying to move the lower back.

Certainly patients notice relief when sitting by the relaxation of the hamstrings and the pain called dull, it is oppressive as if it were a stab. It can last for minutes or it can be persistent when it comes on suddenly from a sudden movement.

The prevalence of sacroiliac joint pain is not well studied, there are numerous etiologies for this pain and the causes can be divided into intra-articular and extra-articular. For the physical examination there is a series of 12 tests. The treatment to address sacroiliitis can be divided into conservative, interventional where it can be used from infiltration with local anesthetic and steroid to radiofrequency and finally surgical for selected cases. It is convenient to go to a rheumatologist to rule out other types of diseases and it must be remembered that neither a traumatologist nor a rehabilitator will be able to give the precise diagnosis. It is a type of arthralgias that compromises the rheumatological area and should be studied if the patient is also suffering from rheumatoid arthritis or spondyloarthritis,

Leave a Reply

Your email address will not be published. Required fields are marked *